Off the Kuff Rotating Header Image

Posts Tagged ‘health insurance’

The fight over domestic partnership benefits is just beginning

Stuff like this was inevitable. Leaders of two Christian groups want City Council to stop extending benefits to domestic partners of city employees, now that the state attorney general has called the benefits unconstitutional. City officials reject the demand, at least for now. Pastor Gerald Ripley of Voices for Marriage and Philip Sevilla of Texas [...]

Medicaid “expansion” likely dead

The calendar is a harsh mistress. The House’s lead health care budget writer says his bill to force Gov. Rick Perry’s administration to explore the potential for a “Texas solution” on Medicaid expansion is dead. Rep. John Zerwas, R-Richmond, said Tuesday that his bill outlining an expansion of coverage for poor adults using private insurance, [...]

Hotze sues Obamacare

You would think that once the Supreme Court ruled that the Affordable Care Act was constitutional that that would settle things, but then you would not be Steve Hotze. Steve Hotze, a Houston-area physician and major Republican campaign donor who has built his career around alternative medicine, says he is filing suit against the federal [...]

Cities generally ignore Abbott’s domestic partnership opinion

Good for them. Attorney General Greg Abbott’s opinion [last] week, while not binding, is the latest of several challenges to same-sex benefits across the country that so far have had mixed results in the courts and prompted changes after officials in other states took action. In Texas, local governments from El Paso to San Antonio [...]

If Medicaid is broken, who broke it?

Patricia Kilday Hart asks an excellent question. [Rep. Garnet] Coleman’s observation provides part of the answer: Just last session, the Legislature trimmed $486 million in state money paid to Medicaid providers, and ended a student loan-forgiveness program for new doctors exclusively serving Medicaid patients. The federal government, which has established some rules that restrict the [...]

Abbott opines against domestic partnership benefits

This should not come as a surprise to anyone. The state Constitution prohibits government entities from recognizing domestic partnerships and offering insurance benefits to those couples, Texas Attorney General Greg Abbott wrote in an opinion on Monday. In the nonbinding opinion, Abbott determined that local jurisdictions that offer such benefits “have created and recognized something” [...]

There are a lot of Republicans who want to move us backwards on equality

Drew Springer is at it again, and he’s got help. In the last year, two Central Texas school districts have announced plans to offer employee benefits to same-sex couples, but one bill heard Tuesday at the Capitol would make that more difficult across the state. Pflugerville ISD announced the change last fall, making it the [...]

What Obamacare will do for Texas

Even without Medicaid expansion, the Affordable Care Act will help millions of Texans get access to health care. Nearly 2.6 million Texans could qualify for tax credits to purchase health insurance in 2014, according to a report released Thursday by Families USA, a nonprofit that advocates for health care consumers. The tax credits will be [...]

Williams’ “Medicaid” plan

I’m really not sure what to make of this. State Sen. Tommy Williams, R-The Woodlands, is crafting a Medicaid reform plan that would use premium tax revenue to subsidize private health plans for uninsured Texans, his office confirmed on Tuesday night. Gary Scharrer, a spokesman for Williams, said the proposal is “still a concept,” one [...]

Yes, Rick Perry still hates Medicaid

We’re not surprised by this, right? The Texas rhetoric around a key facet of federal health reform — whether the state will expand subsidized insurance to its poorest adults — reached the high water mark on Monday, with back-to-back press conferences at the Capitol featuring political leaders on both sides of the aisle. Republicans including [...]

The limits of the Arkansas option

I’ve mentioned the Arkansas option for expanding Medicaid several times, under which the state uses Medicaid money to buy private health insurance for those who would be eligible for Medicaid under the Affordable Care Act. It’s not my preferred solution, but it has some merits and would certainly be better than doing nothing. However, while [...]

Businesses say they want Medicaid expansion, too

This really comes down to two things. Chambers of commerce representing companies such as Exxon Mobil Corp. (XOM) and Kimberly-Clark Corp. (KMB) are challenging Texas Governor Rick Perry and lawmakers to expand health care for the poor in the state with the highest percentage of uninsured people. The chambers of five cities are sending lobbyists [...]

On managing health care costs

Fascinating story in the Statesman on one approach they are taking to manage health care costs in Travis County. A new world of health care is unfolding for some chronically ill Austin-area residents like [Marshall] Kettelhut, who was a cook at Long John Silver’s before he became too sick to work in 2010. Health care [...]

You can present that “Texas solution” any time now

State Rep. John Zerwas takes to the op-ed pages to assure us that yes, the Republicans really truly do want to do something about the vast number of uninsured people in this state if only they are given the freedom to do it their way. The Texas Medicaid program as it presently exists has reached [...]

BeCoveredTexas.org

The insurance exchanges are coming. Whether we get some form of “Medicaid” expansion or not, this will be a key part of bringing health insurance to many currently uninsured Texans. Blue Cross Blue Shield of Texas, the state’s largest health insurance provider, is launching a statewide campaign on Tuesday aimed at getting Texans enrolled in [...]

Houston’s health care cost problem

This is a problem for which there’s no easy solution. Hoping to contain rising health care costs, Mayor Annise Parker recently hiked premiums and cut benefits for employees, a move union leaders said overburdens workers and some City Council members said does not adequately cut costs. Health benefits, long a budget-buster for governments, jumped from [...]

Nine hundred million reasons why expanding Medicaid is a good idea

It’s all about the money. Expanding Medicaid could make available at least $900 million in state money that otherwise would be slated for health care as lawmakers work to pay for Texas’ priorities, according to an analysis released Tuesday. “More efficient health spending means there’s more money available for other needs like water and education,” [...]

The Arkansas way

The state of Arkansas will move forward with a plan to expand Medicaid, except that it’s not really Medicaid even though it will cover all of the Medicaid-eligible population. Here’s the explanation. Gov. Mike Beebe met with about twenty lawmakers this afternoon to announce the results of his meeting with Sec. Kathleen Sebelius last Friday. [...]

As if you needed another reason to support Medicaid expansion

Even more data on why Medicaid expansion makes sense from Texas Impact. The study, by former Texas deputy comptroller Billy Hamilton, says Texas shouldn’t pass up the chance to insure up to 2 million of its more than 6 million uninsured people. Hamilton cited other benefits. Expansion of the Medicaid rolls would “provide relief to [...]

The birth control poll

The Texas Freedom Network would like you to know that Texans support having access to birth control. A new statewide poll from the Texas Freedom Network Education Fund shows Texans believe that access to family planning and birth control is important and should not be limited by a woman’s income level, employer or medical provider. [...]

Medicaid expansion pressure is having an effect

Despite the mountains of evidence in its favor, I still can’t say that I see a path to Medicaid expansion in Texas. But stories like this do give me some hope. Adamantly opposed to expanding Medicaid coverage under President Barack Obama’s signature health care law, Gov. Rick Perry and Lt. Gov. David Dewhurst had seemingly [...]

Working the county Medicaid expansion angle

As statewide Medicaid expansion is being pushed in Austin, some activists are going to various County Commissioners Courts to push for the county option to expand Medicaid as well. “A broad spectrum of people across business, faith and health care communities are coming together to ask that we find a way to draw down these [...]

Medicaid expansion still a big underdog in Texas

Ed Kilgore sees good things in a poll about expanding Medicaid. But even in Texas, a new survey sponsored by the American Cancer Society Action Network has found, there’s strong majority support for the Medicaid expansion. The survey extended to seven states that have been mulling the subject (in one, New Mexico, Gov. Susan Martinez [...]

Then YOU fix it!

Stuff like this really pisses me off. On Wednesday, the [Senate Finance] committee heard testimony from state officials on the proposed health budget, which grew 2 percent from the current biennium budget to $70 billion. The chairman of the committee, Sen. Tommy Williams, R-The Woodlands, expressed the need for fiscal conservancy but said the decisions [...]

Yet another report saying we should expand Medicaid in Texas

It’s the fiscally responsible thing to do, in addition to being the morally correct thing to do. Expanding Medicaid is a “smart, affordable and fair” decision for Texas, according to a report issued by Billy Hamilton, a non-partisan consultant commissioned by Methodist Healthcare Ministries of South Texas and Texas Impact, a statewide interfaith network. “If [...]

Is there a way forward on expanding Medicaid in Texas?

It’s a little hard to know what to make of this. The Affordable Care Act is the federal law that Texas Republicans love to hate, but one top lawmaker says expanding health care for the working poor could happen if federal authorities are willing to strike a deal. Republican Sen. Jane Nelson, chair of the [...]

Dewhurst and Nelson push Medicaid reform

I’m reserving judgment on this for now. Lt. Gov David Dewhurst and Sen. Jane Nelson, R-Flower Mound, on Wednesday touted Senate proposals they say would bring down spending on Medicaid, the state’s health program for the poor, by instituting quality-based payment reforms for long-term care services and measures to catch Medicaid fraud and abuse. “Our [...]

Like it or not, Obamacare is coming to Texas

The Better Texas blog reminds us that as the Affordable Care Act fully kicks in next year there are things that need to be done in Texas to be compliant [W]hat I hope to see are bills that prepare Texas for 2014 market changes to help keep premiums reasonable, encourage competition, and ensure that the [...]

Expanding Medicaid is about more than money

It’s a matter of life and death If Texas doesn’t expand Medicaid, it will reject more than $100 billion in federal money the first decade, according to the state’s own figures. To get that sizeable federal reimbursement, the state would have to spend about $16 billion over 10 years. The governor’s refusal to take the [...]

All or nothing on Medicaid expansion

Partial Medicaid expansion, in whatever the form, will not be an option. “Consistent with the law, there is not an option for enhanced match for a partial or phased in Medicaid expansion,” acting Center for Medicare and Medicaid Services administrator Marilyn Tavenner told reporters on a call Monday. The administration’s reasoning goes like this: The [...]

What’s $2 billion among friends?

Easy come, easy go, am I right? If Texas leaders turn down the federal health law’s Medicaid expansion, they will reject a $2 billion annual revenue stream for the state’s hospitals, according to Dan Mendelson, CEO and founder of Avalere Health, a strategic advisory company based in Washington, D.C. Speaking at about 2 minutes, 5 [...]

I’m glad someone is optimistic about the possibility of Medicaid expansion in Texas

Because I sure can’t say that I’m optimistic about it happening. State Senator Rodney Ellis, Democrat of Houston, said fiscal conservatives have an incentive to reach an agreement “because the alternative is going to cost us much more economically and dig a much deeper hole in our budget.” Some Democratic lawmakers have already proposed legislation [...]

Is immigration reform likely to happen now?

With President Obama’s victory powered in part by overwhelming support from Latino voters, and a dawning if grudging recognition from the GOP that they can’t continue to alienate this growing segment of the electorate, some kind of deal on immigration reform seems increasingly likely. I still have my doubts, however. Prominent voices in both parties [...]

Will health insurance exchanges be on the Lege’s agenda?

The deadline was today for states to decide what they want to do about implementing health insurance exchanges. At least eight Republican governors vowed not to implement the health-care law until after the November election. “I will make that decision number one after the election,” Alabama Gov. Robert Bentley told a local television station in [...]